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General NPI Number Information
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NPI Number | 1295960359
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Entity Type | Individual
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Provider Name | MEGAN MILLER LEE
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Gender | Female
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 4881 HWY 589
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City | SUMRALL
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State | MS
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Zip | 39482-3948
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Country | US
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Telephone | 601-336-9099
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Fax | 601-336-9099
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Provider Business Mailing Address
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Address Line | PO BOX 566
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City | SUMRALL
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State | MS
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Zip | 39482-0566
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Country | US
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Telephone | 601-339-9099
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Fax | 601-550-6184
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | S3332
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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